Facility Evaluation Report

On 08/22/23, Licensing Program Analyst (LPA), L. Salazar arrived at the facility unannounced to conduct additional interviews on complaint investigation 24-AS-20230502144942, after additional information was received.

LPA conducted additional staff interviews regarding the alleged incident. Multiple staff statements revealed the Program Director(PD), at the time of the complaint investigation, was requiring Staff S1 to leave client classrooms to meet in PD's office, leaving clients without the required care and supervision and staffing/client ratios of 1:3. This was documented to have happened on more than one occasion.

In accordance with the California Code of Regulations, Title 22, a deficiency is being cited on the attached 809-D. If not corrected, the violation poses an immediate risk to the health, safety or personal rights of clients in care.

Exit interview conducted, appeal rights and copy of this report will be provided via email on 08/23/23. A plan of correction was already developed and implemented by Associate Executive Director. PD was terminated from employment and is no longer employed with the day program. An all staff training was held regarding NAPD's policies and procedures of the program. Client rights training is scheduled for 09/06/23.